Top
20
Doctor insights on: 21 Hydroxylase Ab

Share
1

1
My blood test results: total bilirubin: 1.41 h ast: 40 h alt: 100 h total alk phosphatase: 43 l serum total protein: 7.1 e.R. Said hepatitis?

My blood test results:
total bilirubin: 1.41 h
ast: 40 h
alt: 100 h
total alk phosphatase: 43 l
serum total protein: 7.1

e.R. Said hepatitis?

Let's try this...: I have only a little bit of the story you've shared. Perhaps it's time to see whether the ast and alt get back to normal after two weeks off alcohol and any not-totally-necessary meds you may be taking. If so, this is the start of a healthier life after alcohol. If not, the workup for virus infections, iron overload, wilson's, autoimmunity & need for exercise can begin. Good luck. ...Read more

2

2
A patient 21-hydroxylase deficiency displays virilization and a high lab value of 17-oh-progesterone, what does that mean?

A patient 21-hydroxylase deficiency displays virilization and a high lab value of 17-oh-progesterone, what does that mean?

Non-classical CAH: Hi. That's the most common cause of non-classical congenital adrenal hyperplasia, non-classical CAH). Because of the sluggish enzymatic step mediated by 21-hydroxylase, adrenal androgens are made via side pathways. In women, these can cause virilization. The treatment is low dose dexamethasone to suppress the pituitary drive of the adrenals. Good luck! ...Read more

3

3
05/05/2016 Siemens Advia Centaur hep C antibody result positive.08/10/2016 Abbott Architect (cmia) hep C antibody result negative.Who is telling truth?

05/05/2016 Siemens Advia Centaur hep C antibody result positive.08/10/2016 Abbott Architect (cmia) hep C antibody result negative.Who is telling truth?

It's not really: a question of truth telling. No test is perfect: the proteins and reactants used in each test will respond to an individual's blood/biologic material, potentially, in a different way. Falsely positive or falsely negative results are not very unusual. You need to decide on a confirmatory strategy with your doctor. Retesting is necessary and an expert can help you weigh the evidence to decide result ...Read more

4

4
ALT 43, BUN 20 (7-18), TOTAL PROTEIN 8.3 (6.4-8.2), TOTAL BILI .9, BILI DIRECT .18, BILI INDIRECT .72. NORMAL?

ALT 43, BUN 20 (7-18), TOTAL PROTEIN 8.3 (6.4-8.2), TOTAL BILI .9, BILI DIRECT .18, BILI INDIRECT .72. NORMAL?

More or less: Why were tests done? Do you have any symptoms? All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your results are in the normal range. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. ...Read more

6

6
+ Antimitochondrial M2 antibodies w/ 4previous elevated ALP's. Most recent ALP normal. Still suggestive for PBC?

+ Antimitochondrial  M2 antibodies w/ 4previous elevated ALP's. Most recent ALP normal. Still suggestive for PBC?

No: The diagnosis of PBC is made through liver biopsy. The other best tool is the biliruben. Taken together they give a diagnosis and prognosis for survival. As you know PBC is though to be an auto immune disease. ...Read more

7

7
I'm hebs ag negative with a high anti hbs antibody from vaccination. This week's test was reported as hebs ag detected with anti hbs antibody of 513 miu/ml. Lft normal....Scared....Lab error?

I'm hebs ag negative with a high anti hbs antibody from vaccination.  This week's test was reported as hebs ag detected with anti hbs antibody of 513 miu/ml. Lft normal....Scared....Lab error?

Yes: That sounds like lab error. Your hbsab would provide immunity; i'm assuming yoru hbcab (core) is negative; i wouldn't worry, talk to your doctor about a retest if you are concerned, but even if you were infected, there is no reason for treatment at this time. ...Read more

11

11
Results: Hep C quant. : 2,802,680 HCV log10: 6.448. Reflex to genotype was unable to determine genotype even though there was sufficient HCV RNA?

Results: Hep C quant. : 2,802,680 
HCV log10: 6.448. Reflex to genotype was unable to determine genotype even though there was sufficient HCV RNA?

Hepatitis C virus: Sometimes it's not possible to determine the genotype of this virus, which thus makes the expected response to treatment more uncertain. This is a 'slippery virus' -there are 11 major genotypes (designated 1-11), and many subtypes (a, b, c, etc.) A hepatologist (GI subspecialist) or an ID doctor who works with Hep C patients can help you. You'll need an established relationship for treatment... ...Read more

12

12
I did a liver profile test : alkaline phosphatase 47.1 u/l aspartate aminotransferase (sgot )39 u/l alanine transaminase (sgpt)53.7 u/l?

I did a liver profile test :
alkaline phosphatase 47.1 u/l
aspartate aminotransferase (sgot )39 u/l alanine transaminase (sgpt)53.7 u/l?

Get a follow-up: Expect these to be repeated iwth you off alcohol and any meds you don't truly need. There may be a hepatitis, iron overload, wilson's ; maybe autoimmue hepatitis workup in your future. You also list B12 ; vitamin d deficiency; i trust these are being managed ; the causes identified. ...Read more

16

16
Thyroid u/s rl 2.2x1.5x6.1, ll 1.8x1.1x5.1. Mildly heterogeneous exhotexture.T4free 1.3 t3total 94 TSH .63. Having many thyroid symptoms.Thyroid prob?

Thyroid u/s rl 2.2x1.5x6.1, ll 1.8x1.1x5.1. Mildly heterogeneous exhotexture.T4free 1.3 t3total 94 TSH .63. Having many thyroid symptoms.Thyroid prob?

Probably not thyroid: Nodule does not appear autonomous ( doing its own thing) TSH still normal. No sptoms related to normal thyroid function. Sptoms usually come from an underlying autoimmune cponent. ...Read more

18

18
Are the WBC results 15.6, 14.4, 11.4, 13.5, 12.7, 16.7, 14.4 13.3, 12.4, 15.3, 13.9, 14.4 & 17.8 slightly, moderately or highly elevated in general?

Are the WBC results 15.6, 14.4, 11.4, 13.5, 12.7, 16.7, 14.4 13.3, 12.4, 15.3, 13.9, 14.4 & 17.8 slightly, moderately or highly elevated in general?

Blood tests: There are a few diseases that leap out from blood tests. Most of the time, however, blood tests don't tell the doctor much on their own. These results fall into the second group. Good health to you. It is reassuring that the results do not consistently keep rising. ...Read more

19

19
HC worker. 1992 Hep B vac, 2004 titer & booster. 2012 labs hep B neg. Labs done last wk; now told that Hep B test is positive?? How can this be?

HC worker. 1992 Hep B vac, 2004 titer & booster. 2012 labs hep B neg. Labs done last wk; now told that Hep B test is positive?? How can this be?

Two possibilities...: Lab tests aren't perfect and sometimes can be wrong. Or maybe the negative result was from the wrong kind of test. Vaccination makes hepatitis B surface antibody (HBsAb) positive. Tests for surface antigen (HBsAg) or core antibody (HBcAb) remain negative. Most important, you can be sure you are immune and protected by the vaccine -- so no worries. ...Read more

20

20
Triglycerides 453 hi. Glucose 132H.Bun 26H. Hemoglobin 11.7 low. Hematocrit 37.5 L. Mchc 31.2 L. RDW 15.5 H. MICROALB CREAT 240 H. VitD 22 L. Father60 and Diabetic . Rest of Cbc and othere normal. What could this be?

Triglycerides 453 hi. Glucose 132H.Bun 26H. Hemoglobin 11.7 low. Hematocrit 37.5 L. Mchc 31.2 L. RDW 15.5 H. MICROALB CREAT 240 H. VitD 22 L. Father60 and Diabetic . Rest of Cbc and othere normal. What could this be?

Need good care: You need to be under the care of a competent physician who can keep your diabetes under control and find the cause of your anemia, which i suspect is due to iron deficiency from blood being lose somewhere. We can't solve it here. If you have a specific question, let us know. ...Read more

See 2 more doctor answers